Individual
KAYCIE RAYLYNN GILBREATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
100 ELLIS AVENUE, BOISE CITY, OK 73933
(580) 544-2501
(580) 544-3066
Mailing address
901 MAIN ST, CLAYTON, NM 88415-2917
(575) 639-4592
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-82110
NM
363LF0000X
Family Nurse Practitioner
Primary
209632
OK
Other
Enumeration date
07/29/2022
Last updated
10/04/2022
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